Active NPI
Carlton Brandon Long, BS, DC
- Chiropractor
- Manchester, TN
National Provider Identifier
1821651043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3192
- Practice address
- 302 S Woodland St
Manchester, TN 37355-1761 - Phone
- (931) 954-5212
- Fax
- (931) 954-5095
- NPI assigned
- Apr 15, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3192 | TN | Primary |
Addresses
Primary practice location
302 S Woodland St
Manchester, TN 37355-1761
Mailing address
1276 Fredonia Rd
Manchester, TN 37355-3366
Phone (931) 808-7470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190529002343 | TN | Practitioner - Chiropractic | 1658614961 | Practice locations: Manchester, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
302 S Woodland St
Manchester, TN 37355-1761
Phone (931) 954-5212
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3192 | TN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555286400000",
"number": "1821651043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1276 FREDONIA RD",
"city": "MANCHESTER",
"state": "TN",
"postal_code": "373553366",
"telephone_number": "931-808-7470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 S WOODLAND ST",
"city": "MANCHESTER",
"state": "TN",
"postal_code": "373551761",
"telephone_number": "931-954-5212",
"fax_number": "931-954-5095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "CARLTON",
"middle_name": "BRANDON",
"name_prefix": "Dr.",
"credential": "BS, DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-15",
"last_updated": "2019-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "3192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.